Contraception Flashcards

1
Q

outline the mechanisms of action of COCP and progestogenic forms of contraception

A
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2
Q

types of COCP?

A
  • monophasic
    • take pills for 21 days and then stop for 7 days where you have a withdrawal bleed
  • phasic
    • same but with varying amounts of hormone
  • everyday
    • take everyday but 7 sugar pills included
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3
Q

S/E of COCP?

A
  • headache
  • breast tenderness
  • changes to libido
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4
Q

Risks?

A
  • HT
  • Thrombosis
  • increased breast cancer risk
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5
Q

Contraindications to COCP?

A
  • age>35 and smoker
  • uncontrolled HT
  • history of thrombosis
  • history of thrombosis in family
  • history of stroke
  • breast cancer
  • migraine w aura
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6
Q

when should u start COCP?

A

first day of menstrual period

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7
Q

S/E of POP?

A
  • spotting / amenorrhoea
  • breast tenderness
  • acne
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8
Q

mechanism of copper coil?

A

reduces sperm motility and survival

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9
Q

+ve and -ve of copper coil?

A

+ve

  • can be started at any time during cycle and is effective immediately
  • ve
  • can cause menorrhagia & IMB
  • potential of causing uterine perforation on insertion
  • increased risk of ectopic pregnancy
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10
Q

+ve and -ve of mirena coil?

A

+ve

  • makes periods lighter / disappear altogether
  • ve
  • spotting/irregular bleeding
  • may cause uterine perforation during insertion
  • increased risk of ectopic pregnancy
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11
Q

how does Depo-provera work?

A

3 monthly IM injections of a progestogen

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12
Q

when should u start depoprovera?

A

on first day of menstrual period

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13
Q

-ve of depoprovera?

A

takes 12 months for fertility to return

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14
Q

S/E of depo provera?

A
  • weight gain
  • acne
  • spotting /irregular bleeding
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15
Q

risk of depoprovera?

A

may cause osteoporosis

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16
Q

+ve and -ve of implant?

A
  • +ve: can improve dysmenorrhoea & does not affect bone mineral density
  • -ve: worsening of acne, change in menstrual cycle ie menorrhagia, reduced libido
17
Q

when should you start contraception post birth & what can you take?

A
  • not until 3 weeks post childbirth
  • POP safe to use in breastfeeding
  • COCP not
18
Q

outline the types of emergency contraception there are

A
  • levonorgestrel (levonelle- morning after)
    • taken up to 72h post sex
  • ella one
    • up to 120hrs
  • copper coil- most effective
    • up to 5 days after
19
Q

S/E of levonelle?

A

vomiting, can trigger / worsen depression